Case Bank Online Request Form
Instruction: Please answer the information in each box. Boxes marked with an asterisk (*) are required information. Kindly submit this form as accurately as possible.
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Type of Request *
Requested by (Select the first option "Other" if your name is not listed and supply it on the next line.) *
Other
Please type your name if not available in the list. ex. Dela Cruz, Juan C., Jr.
Faculty Name (Select the first option "Other" if faculty name is not listed and supply it on the next line.) *
Other:
Please type the name of the Faculty if not available in the list.
School *
Degree Program
Non-Degree Program
ex. 145th Basic Management Program (NAME or TITLE OF NON-DEGREE PROGRAM ONLY)
Program Batch/Year/Cohort/Run *
Course Name/ Subject Name/ Subject Code *
ex. Human Behavior for Development Organization
No. of Course Units for Degree Programs *
Select "Not Applicable" for SEELL non-degree programs
No. of Actual Teaching Sessions (ATS) for NON-DEGREE PROGRAM *
Please type the TOTAL NUMBER of ATS of the NON-DEGREE PROGRAM. Kindly type "Not Applicable" for degree programs
Number of Enrolled Students/Participants *
Number of User Licenses Needed for Simulation *
Declare the number of simulation user licenses needed for Learning Teams (LT) or individual use. Put "N A or Not Applicable" for request of cases, articles, chapters, etc. and of materials other than Simulations and Interactive Materials
Program Start Date *
MM
/
DD
/
YYYY
Program End Date *
MM
/
DD
/
YYYY
Discipline *
List of Requested AIM Learning Materials
Please provide the complete bibliographic information of the learning materials.

AIM Learning Materials Request No. 1:
ex. [Author's Name. (Year of Publication). Title of the Learning Material. Product Number/ Case Number/ Call Number.]
AIM Learning Materials Request No. 2:
ex. [Author's Name. (Year of Publication). Title of the Learning Material. Product Number/ Case Number/ Call Number.]
AIM Learning Materials Request No. 3:
ex. [Author's Name. (Year of Publication). Title of the Learning Material. Product Number/ Case Number/ Call Number.]
AIM Learning Materials Request No. 4:
ex. [Author's Name. (Year of Publication). Title of the Learning Material. Product Number/ Case Number/ Call Number.]
AIM Learning Materials Request No. 5:
ex. [Author's Name. (Year of Publication). Title of the Learning Material. Product Number/ Case Number/ Call Number.]
List of Requested Non-AIM Learning Materials
Please provide the complete bibliographic information of the learning materials.

Non-AIM Learning Materials Request No. 1:
ex. [Author's Name. (Year of Publication). Title of the Learning Material. Product Number/ Case Number/ Call Number.]
Non-AIM Learning Materials Request No. 2:
ex. [Author's Name. (Year of Publication). Title of the Learning Material. Product Number/ Case Number/ Call Number.]
Non-AIM Learning Materials Request No. 3:
ex. [Author's Name. (Year of Publication). Title of the Learning Material. Product Number/ Case Number/ Call Number.]
Non-AIM Learning Materials Request No. 4:
ex. [Author's Name. (Year of Publication). Title of the Learning Material. Product Number/ Case Number/ Call Number.]
Non-AIM Learning Materials Request No. 5:
ex. [Author's Name. (Year of Publication). Title of the Learning Material. Product Number/ Case Number/ Call Number.]
Non-AIM Learning Materials Request No. 6:
ex. [Author's Name. (Year of Publication). Title of the Learning Material. Product Number/ Case Number/ Call Number.]
Non-AIM Learning Materials Request No. 7:
ex. [Author's Name. (Year of Publication). Title of the Learning Material. Product Number/ Case Number/ Call Number.]
Non-AIM Learning Materials Request No. 8:
ex. [Author's Name. (Year of Publication). Title of the Learning Material. Product Number/ Case Number/ Call Number.]
Non-AIM Learning Materials Request No. 9:
ex. [Author's Name. (Year of Publication). Title of the Learning Material. Product Number/ Case Number/ Call Number.]
Non-AIM Learning Materials Request No. 10:
ex. [Author's Name. (Year of Publication). Title of the Learning Material. Product Number/ Case Number/ Call Number.]
Non-AIM Learning Materials Request No. 11:
ex. [Author's Name. (Year of Publication). Title of the Learning Material. Product Number/ Case Number/ Call Number.]
Non-AIM Learning Materials Request No. 12:
ex. [Author's Name. (Year of Publication). Title of the Learning Material. Product Number/ Case Number/ Call Number.]
Non-AIM Learning Materials Request No. 13:
ex. [Author's Name. (Year of Publication). Title of the Learning Material. Product Number/ Case Number/ Call Number.]
Non-AIM Learning Materials Request No. 14:
ex. [Author's Name. (Year of Publication). Title of the Learning Material. Product Number/ Case Number/ Call Number.]
Non-AIM Learning Materials Request No. 15:
ex. [Author's Name. (Year of Publication). Title of the Learning Material. Product Number/ Case Number/ Call Number.]
Non-AIM Learning Materials Request No. 16:
ex. [Author's Name. (Year of Publication). Title of the Learning Material. Product Number/ Case Number/ Call Number.]
Non-AIM Learning Materials Request No. 17:
ex. [Author's Name. (Year of Publication). Title of the Learning Material. Product Number/ Case Number/ Call Number.]
Non-AIM Learning Materials Request No. 18:
ex. [Author's Name. (Year of Publication). Title of the Learning Material. Product Number/ Case Number/ Call Number.]
Non-AIM Learning Materials Request No. 19:
ex. [Author's Name. (Year of Publication). Title of the Learning Material. Product Number/ Case Number/ Call Number.]
Non-AIM Learning Materials Request No. 20:
ex. [Author's Name. (Year of Publication). Title of the Learning Material. Product Number/ Case Number/ Call Number.]
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